WAN YI WANG RD
NPI 1306593280
Dietitian, Registered in Brea, CA

Q: What is Wan Wang's NPI number?

The NPI number for Wan Wang is 1306593280. It was assigned to this individual provider in the NPPES registry on March 9, 2022. The provider is also known as Yi Wan Wang.

Q: What is Wan Wang's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Wan Wang was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 09, 2022Accepts Medicare Assignment

3230 E IMPERIAL HWY STE 300, BREA, CA 92821(559) 740-3967 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wan Yi Wang Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAN YI WANG RD (NPI 1306593280) is an individual dietitian, registered in Brea, California, licensed in California (86074218) and active in the NPI registry since March 2022. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1306593280

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameWAN YI WANGCredential: RD

Location Address3230 E IMPERIAL HWY STE 300Brea, CA 92821-6751

Mailing Address23781 Via El RocioMission Viejo, CA 92691-3533

Phone(559) 740-3967

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 9, 2022

Last NPPES UpdateSeptember 15, 2023

NPPES CertifiedSeptember 15, 2023

✔ NPI 1306593280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in CA · 86074218

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3230 E IMPERIAL HWY STE 300, Brea, CA 92821

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Other Names 1

Former Name (1)Yi Wan Wang

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wan Yi Wang Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840736773

PECOS Enrollment IDI20240726003228

Medicare Billing Reassignment

Medicare enrollment records show Wan Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nutri-Life LLC

Same address

Dietitian, Registered

3230 E IMPERIAL HWY STE 300
Brea, CA 92821

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1699552620 (626) 548-9858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH SAUCEDA-GOMEZ M.S.

Marriage & Family Therapist

3230 E IMPERIAL HWY STE 300
BREA, CA 92821

Orange County (714) 987-2133

NUTRI-LIFE LLC

Dietitian, Registered

3230 E IMPERIAL HWY STE 300
BREA, CA 92821

Orange County (626) 548-9858

MS. CHERYL DENISE CASEY MS

Marriage & Family Therapist

3230 E IMPERIAL HWY STE 300
BREA, CA 92821

Orange County (562) 331-7414

MAGGIE CHEN RD

Dietitian, Registered

3230 E IMPERIAL HWY STE 300
BREA, CA 92821

Orange County (626) 548-9858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wan Wang's NPI number?

The NPI number for Wan Wang is 1306593280. It was assigned to this individual provider in the NPPES registry on March 9, 2022. The provider is also known as Yi Wan Wang.

Where is Wan Wang located?

Wan Wang practices at 3230 E Imperial Hwy Ste 300, Brea, CA 92821. The listed phone number is (559) 740-3967.

What is Wan Wang's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Wan Wang enrolled in Medicare?

Yes. Wan Wang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Wan Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wan Wang reassigns Medicare benefits to Nutri-Life LLC (Brea, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wan Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wan Wang was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.